This is your application for a Certificate of Relief from Disabilities or for a Certificate of Good Conduct. Please review this information carefully.You are eligible for a Certificate of Relief from Disabilities if you have been convicted of any number of misdemeanors and no more than one felony. Access or request copies of your medical records at Mount Sinai South Nassau online with our patient portal or via request. Request a Criminal Certificate of Disposition from the court. Complete a separate request for each case you will be asking the court to seal. Character references: should be US citizens and must be Nassau County residents who have known the applicant for a minimum of 1 year. All questions must be answered or application will not be processed. Business certificate on file in the Nassau County Clerk's Office. If you are a religious observer and you cannot be tested on the announced date you must complete the appropriate form.